Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD60561200 | WA |
N | 207QA0505X | Family Doctor - Adult Medicine | MD60561200 | WA |
NPI | 1336457258 |
---|---|
Provider Name | Dr. Blanca Viridiana Zuniga |
First Address | Renton, WA 98057-2908 |
Second Address | Federal Way, WA 98003-6357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2010 |
Last Update Date | 05/03/2021 |